HSC Critical Care Collection Guide: Difference between revisions

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The green log book for CCU is kept at the back desk.CCU patients are identified by green marker over the serial number on the collector's data collection log and by writing CCU in the index beside the log number.The numbers are shared with the MICU patients using 1-50 of every group of 100.The SICU data collector uses numbers 51-100 of every 100 numbers.

Generally all patients coming to MICU are medical as it is a closed unit.However if the patient comes directly out of the OR it would be a surgical patient under a MICU attending.Refer to patient type on wiki.

Generally all patients coming to MICU are medical as it is a closed unit.However if the patient comes directly out of the OR it would be a surgical patient under a MICU attending.Refer to patient type on wiki.We don't code GI bleeds as surgical and most are treated endoscopy.If they came from OR then they are coded surgical.

A white board by the front desk lists the patients. It also lists who is on the transfer list and other valuable info.

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Pharmacy collection is a process that requires alot of time.The patients often have infections and are on multiple antibiotics.Most patients are on sc heparin,nexium/ranitidine.Vancomycin can be signed off on any color of med sheet.Renal patients are often on epo drugs.If patients are transfered to the wards the medication records may be in the nurses Mar binder or in a thinned chart.The ward clerks will help locate these thinned charts.

25% Albumin is often given and is often not on the intake and output sheet but will be found on the medication record.

25% Albumin is often given and is often not on the intake and output sheet but will be found on the medication record.Cross reference the blood administration record.

Workload in this unit is very high.It can be frustrating for other collectors who need to collaborate times, diagnosis etc with the MICU collector.Lots of transfers occur between medicine wards at HSC and MICU/CCU and IICU.Ever effort will be made to get these transfer times right.Measurement of medications,tests and xrays are done between these times so accuracy is important.Collection in this unit runs a bit behind and occasionally corrections need to be made to data sent by others. The transfer tracker is very useful to see what times collectors are putting.

To determine transfer times the first set of vital signs is the guide.Medicine collectors at HSC can find the transfer time by looking at the first set of vital signs in MICU. Unless there is a clearly documented time elsewhere in the chart the ward transfer time is usually 10 minutes prior to first set of vitals.It is a rare occurance that those vital signs are not done.Collectors do need to be careful as there can be many days of addendum sheets.

If patients overflow in to SICU they remain MICU data collectors patients.

The following links are a few that apply to ICU for quick reference or review:

@@ Line 17: / Line 17: @@
 The green log book for CCU is kept at the back desk.CCU patients are identified by green marker over the serial number on the collector's data collection log and by writing CCU in the index beside the log number.The numbers are shared with the MICU patients using 1-50 of every group of 100.The SICU data collector uses numbers 51-100 of every 100 numbers.
-Generally all patients coming to MICU are medical as it is a closed unit.However if the patient comes directly out of the OR it would be a surgical patient under a MICU attending.Refer to patient type on wiki.
+Generally all patients coming to MICU are medical as it is a closed unit.However if the patient comes directly out of the OR it would be a surgical patient under a MICU attending.Refer to patient type on wiki.We don't code GI bleeds as surgical and most are treated endoscopy.If they came from OR then they are coded surgical.
 A white board by the front desk lists the patients. It also lists who is on the transfer list and other valuable info.
@@ Line 33: / Line 33: @@
 Pharmacy collection is a process that requires alot of time.The patients often have infections and are on multiple antibiotics.Most patients are on sc heparin,nexium/ranitidine.Vancomycin can be signed off on any color of med sheet.Renal patients are often on epo drugs.If patients are transfered to the wards the medication records may be in the nurses Mar binder or in a thinned chart.The ward clerks will help locate these thinned charts.
-% Albumin is often given and is often not on the intake and output sheet but will be found on the medication record.
+% Albumin is often given and is often not on the intake and output sheet but will be found on the medication record.Cross reference the blood administration record.
+Workload in this unit is very high.It can be frustrating for other collectors who need to collaborate times, diagnosis etc with the MICU collector.Lots of transfers occur between medicine wards at HSC and MICU/CCU and IICU.Ever effort will be made to get these transfer times right.Measurement of medications,tests and xrays are done between these times so accuracy is important.Collection in this unit runs a bit behind and occasionally corrections need to be made to data sent by others. The transfer tracker is very useful to see what times collectors are putting.
+To determine transfer times the first set of vital signs is the guide.Medicine collectors at HSC can find the transfer time by looking at the first set of vital signs in MICU. Unless there is a clearly documented time elsewhere in the chart the ward transfer time is usually 10 minutes prior to first set of vitals.It is a rare occurance that those vital signs are not done.Collectors do need to be careful as there can be many days of addendum sheets.
+If patients overflow in to SICU they remain MICU data collectors patients.
 The following links are a few that apply to ICU for quick reference or review: